Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05921 | Date 21/12/2023 |
| Token No | SM/22-23/16785 21/12/2023 | Serial | 038 |
| Patient Name | Miss KAJAL KUMARI THAKUR | Contact No | 8981956642 |
| Address | 107/A PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||